CN109620395B - Fang Shi multifunctional hammer under endoscope - Google Patents
Fang Shi multifunctional hammer under endoscope Download PDFInfo
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- CN109620395B CN109620395B CN201910062832.9A CN201910062832A CN109620395B CN 109620395 B CN109620395 B CN 109620395B CN 201910062832 A CN201910062832 A CN 201910062832A CN 109620395 B CN109620395 B CN 109620395B
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- outer tube
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a multifunctional hammer under a Fabry-Perot endoscope, which belongs to the technical field of medical instruments and comprises an outer tube, wherein an outer tube front joint is inserted into the left side of an inner cavity of the outer tube, an insulating connecting rod is inserted into the inner cavity of the outer tube front joint, the left end of the insulating connecting rod extends to the left side of the outer tube, a spherical insulating seat is arranged at the left end of the outer tube, the inner cavity of the spherical insulating seat is sleeved with the left end of the insulating connecting rod, a conductive screw is obliquely and spirally connected between the top of the spherical insulating seat and the insulating connecting rod, a conductive rod is inserted into the right side of the insulating connecting rod, the conductive rod is inserted into the center of the inner cavity of the outer tube, a handle is sleeved at the right end of the conductive rod, and an outer tube rear joint is inserted between the inner cavity of the handle and the outer wall of the conductive rod; according to the invention, the fascia gaps among the abdominal organs are correctly separated through the spherical insulating seat, the fascia is not damaged, the separation, the electrocoagulation hemostasis and other effects can be realized, the side damage of surrounding tissues can be reduced, and the operation fineness is increased.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a multifunctional hammer under a Fabry-Perot endoscope.
Background
At present, the electric hook, the electric rod and the electrified separating forceps in the laparoscopic surgical instrument are widely applied clinically, but the electric hook electric rod belongs to a single stage, has certain limitation in the application process, cannot finely separate compact tissues and cannot perform sharp separation, can perform sharp separation in the process of using scissors, and is inconvenient because the electric hook, the electric rod or the ultrasonic knife is needed to be replaced in the process of hemostasis in the separation process. An important change of laparoscopic technology is the way of access to the body cavity and the reform of the instrument, which is just called "hand-held not as good as home", while most laparoscopic instruments have their tips in the form of jaws and are pointed. As disclosed in patent CN201620116544.9, a retractor for stitching a laparoscopic puncture hole is provided with a handle and a retractor rod, wherein the upper end of the retractor rod is fixedly connected with the handle, and the lower end of the retractor rod comprises a retractor; the draw hook comprises an arc-shaped section and a hook tip section, wherein the arc-shaped section is positioned at the lower part of the draw hook rod, the arc-shaped section and the hook tip section are connected into a whole, and the hook tip end of the hook tip section of the draw hook is upward. The device can help the laparoscopic surgery person to close the operation incision more conveniently, more quickly and safely, and effectively prevent the phenomenon of puncture hernia, hemorrhage and even hemorrhagic shock. However, with some soft tissues, only "containing" forceps, as done by some "pushing" or the like, can easily damage the tissue and even some blood vessels hidden in the tissue. Based on the above, the invention designs the multifunctional hammer under the Fabricius endoscope to solve the problems.
Disclosure of Invention
The invention aims to provide a multifunctional hammer under an atrioventricular endoscope, which aims to solve the problems in the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions: fang Shi multi-functional hammer under chamber mirror, including the outer tube, peg graft in the inner chamber left side of outer tube has outer tube front joint, peg graft in the inner chamber of outer tube front joint has insulating connecting rod, the left end of insulating connecting rod extends to the left side of outer tube, the left end of outer tube is equipped with spherical insulating seat, the inner chamber of spherical insulating seat cup joints with the left end of insulating connecting rod, slope spiro union has conductive screw between the top of spherical insulating seat and the insulating connecting rod, peg graft on the right side of insulating connecting rod has the conducting rod, peg graft in the inner chamber central authorities of conducting rod and outer tube, the handle has been cup jointed to the right-hand member of conducting rod, peg graft between the inner chamber of handle and the outer wall of conducting rod has outer tube rear joint.
Preferably, the inclined connection angle between the conductive screw and the spherical insulating seat can be 0 degree, 45 degrees or 90 degrees.
Preferably, the surface of the spherical insulating seat is screwed with a plurality of groups of conductive screws, and the conductive screws can respectively form 0-45 DEG, 45-90 DEG or 0-90 DEG areas on the surface of the spherical insulating seat.
Preferably, holes are symmetrically formed in the left side and the right side of the spherical insulating seat in a penetrating mode, the holes extend to the inner cavity of the insulating connecting rod, an angle of 30 degrees is formed between the holes and the horizontal line, the holes are located below the conductive screws, and the cavity of each hole is 1.5mm.
Preferably, the diameter of the spherical insulating seat may be set to 5mm, 7mm or 9mm, respectively.
Preferably, the conducting rod is a steel rod with the diameter of 1.8 mm.
Preferably, a first heat shrinkage tube is inserted between the conducting rod and the opposite inner side of the outer tube.
Preferably, the outer wall of the outer tube is sleeved with a second heat shrinkage tube.
Preferably, the outer wall of the handle is provided with anti-skid patterns.
Compared with the prior art, the invention has the beneficial effects that: the invention performs omnibearing insulation through the spherical insulation seat and the insulation connecting rod inserted between the outer tube front joint and the conductive rod, has the purpose of local hemostasis, realizes separation of passive gaps under the laparoscope, ensures correct and effective gaps, can realize an electrocoagulation technology, ensures the effect of clinical application, can correctly separate fascia gaps between abdominal organs through the spherical insulation seat and ensure no damage to fascia, can realize various effects of separation, electrocoagulation hemostasis and the like, can reduce side damage of surrounding tissues, increases the fineness of operation, and accords with the concept of accurate surgery. Three angles of 0 degree, 45 degrees or 90 degrees are formed between a single conductive screw and the spherical insulating seat, to a plurality of conductive screws are screwed on the spherical insulating seat, three angles of 0-45 degrees, 45-90 degrees or 0-90 degrees can be respectively formed, from punctiform electrocoagulation to sheet electrocoagulation are realized, the suction function is realized through two groups of holes, and the functions are diversified.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed for the description of the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic diagram of the structure of the present invention.
Fig. 2 is an enlarged schematic view of the connection structure of the outer tube and the spherical insulating base of the present invention.
Fig. 3 is a schematic view of the structure of the invention inclined by 0 degree between the conductive screw and the spherical insulating base.
Fig. 4 is a schematic view of a structure of the invention inclined 45 degrees between the conductive screw and the spherical insulating base.
Fig. 5 is a schematic view of the structure of the invention inclined by 90 degrees between the conductive screw and the spherical insulating base.
FIG. 6 is a schematic view showing the structure of the region between the conductive screw and the spherical insulating base of the present invention, wherein the region is 0-45 degrees.
FIG. 7 is a schematic view showing the structure of the region between the conductive screw and the spherical insulating base of the present invention, wherein the region is 45-90 degrees.
FIG. 8 is a schematic view showing the structure of the region between the conductive screw and the spherical insulating base of the present invention, wherein the region is 0-90 degrees.
Fig. 9 is a schematic view of the eyelet structure of the present invention.
In the drawings, the list of components represented by the various numbers is as follows:
1-conductive screw, 2-spherical insulating seat, 3-outer tube front joint, 4-conductive rod, 5-outer tube, 6-, 7-outer tube rear joint, 8-insulating connecting rod, 9-eyelet.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-9, the present invention provides a technical solution: fang Shi multifunctional hammer under chamber mirror, including outer tube 5, peg graft in the inner chamber left side of outer tube 5 has outer tube front joint 3, peg graft in the inner chamber of outer tube front joint 3 has insulating connecting rod 8, the left end of insulating connecting rod 8 extends to the left side of outer tube 5, the left end of outer tube 5 is equipped with spherical insulating seat 2, the inner chamber of spherical insulating seat 2 cup joints with the left end of insulating connecting rod 8, slope spiro union has conductive screw 1 between the top of spherical insulating seat 2 and the insulating connecting rod 8, peg graft on the right side of insulating connecting rod 8 has conducting rod 4, conducting rod 4 peg graft with the inner chamber central authorities of outer tube 5, handle 7 has been cup jointed to the right-hand member of conducting rod 4, peg graft between the inner chamber of handle 7 and the outer wall of conducting rod 4 has outer tube back joint 6.
The inclined connection angle between the conductive screw 1 and the spherical insulating seat 2 can be 0 degree, 45 degrees or 90 degrees, a plurality of groups of conductive screws 1 are screwed on the surface of the spherical insulating seat 2, the plurality of groups of conductive screws 1 can respectively form 0-45 degrees, 45-90 degrees or 0-90 degrees areas on the surface of the spherical insulating seat 2, three angles of 0 degrees, 45 degrees or 90 degrees are formed between a single conductive screw 1 and the spherical insulating seat 2, to a plurality of conductive screws 1 are screwed on the spherical insulating seat 2, three angles of 0-45 degrees, 45-90 degrees or 0-90 degrees are respectively formed, and the purposes of electric coagulation from point to sheet coagulation and functional diversification are realized; the left side and the right side of the spherical insulating seat 2 are symmetrically penetrated with holes 9, the holes 9 extend to the inner cavity of the insulating connecting rod 8, an angle of 30 degrees is formed between the holes 9 and a horizontal line, the two groups of holes 9 are positioned below the conductive screw 1, the cavity of the holes 9 is 1.5mm, the purpose of electric coagulation attraction is realized by arranging two groups of symmetrical holes on the spherical insulating seat 2, tissue fluid is sucked out of the two groups of holes 9, and the aspirator function is realized; the diameter of the spherical insulating seat 2 can be set to be 5mm, 7mm or 9mm respectively, the conducting rod 4 is a steel rod with the diameter of 1.8mm, a first heat shrinkage tube is inserted between the conducting rod 4 and the opposite inner side of the outer tube 5, a second heat shrinkage tube is sleeved on the outer wall of the outer tube 5, and anti-slip lines are arranged on the outer wall of the handle 7.
One specific application of this embodiment is: the spherical insulating base 2 with the tip is round and bright, is easy to enter the gap layer, and can not cause excessive damage to tissues in the operation actions of pushing, picking, jacking, stripping and sucking tissues under the endoscope, so that the whole operation process is smoother.
Specific operation skills:
(1) detecting: when the inside of the tissue cannot be identified, the spherical insulating seat 2 can be used for trying to search, the damage of the tissue can not be caused due to the smooth characteristic of the spherical insulating seat 2, the potential gap can be separated, the correct tissue or the layers among organs can be found by using the search, and the respective 'membranes' are protected;
(2) pushing: on some adhered tissues or surgical layers, the handle 7 can be used for giving proper pushing force to the spherical insulating seat 2, so that whether blood vessels exist in the tissues or whether the tissues enter the layers to be accessed or not is determined, and the whole surgical layer is smooth and clear by matching with the free of the electric scissors;
(3) picking: the spherical insulating seat 2 can be used for lifting and convenient operation of tissues, organs or blood vessels, and the tip of the spherical insulating seat is not worried about damage such as uterus, stomach, liver and the like;
(4) and (3) top: the operator and the assistant can push tissues and even organs by giving proper pushing force to the spherical insulating seat 2 through the handle 7 according to the current operation environment, and the operation is safer than any endoscopic instrument especially under blind vision;
(5) pressing: the handle 7 can be pressed down in the process of tying the mesentery in the large wealth, so that the spherical insulating seat 2 can be pressed down, and the method is safe and convenient and does not worry about damaging surrounding tissues;
(6) stripping: the spherical insulating seat 2 is larger and noninvasive to the contact surface of the tissue when being matched with the electric scissors for use, the damage is smaller when the tissue is peeled, and the operation can be safer and smoother by matching with the cutting of the electric scissors.
(7) Sucking: two groups of holes 9 are formed in the spherical insulating seat 2 in a penetrating mode, the suction device is matched, tissue inlet liquid is sucked from the two groups of holes 9, the two groups of holes 9 are symmetrically arranged, and suction is uniform and efficient.
The spherical insulating seat 2 and the insulating connecting rod 8 inserted between the outer tube front joint 3 and the conducting rod 4 are used for omnibearing insulation, so that the purpose of local hemostasis is achieved, the separation of a passive gap under a laparoscope is realized, the electrocoagulation technology can be realized while the correct effective gap is ensured, and the effect of clinical application is ensured. Can correctly divide fascia gaps among abdominal organs through the spherical insulating seat 2 and ensure that fascia is not damaged, can realize various effects such as separation, electric coagulation hemostasis, can reduce side damage of surrounding tissues, increases the fineness of operation, and accords with the concept of accurate surgery. Three angles of 0 degrees, 45 degrees or 90 degrees are formed between a single conductive screw 1 and a spherical insulating seat 2, and a plurality of conductive screws 1 are screwed on the spherical insulating seat 2 to form three angles of 0-45 degrees, 45-90 degrees or 0-90 degrees respectively, so that the electric coagulation from point-like to sheet-like is realized, the suction function is realized through two groups of holes 9, and the functions are diversified.
In the description of the present specification, the descriptions of the terms "one embodiment," "example," "specific example," and the like, mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiments or examples. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the invention disclosed above are intended only to assist in the explanation of the invention. The preferred embodiments are not exhaustive or to limit the invention to the precise form disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best understand and utilize the invention. The invention is limited only by the claims and the full scope and equivalents thereof.
Claims (6)
1. Fang Shi multifunctional hammer under chamber mirror, including outer tube (5), its characterized in that: the novel electric wire connector is characterized in that an outer tube front connector (3) is inserted in the left side of an inner cavity of the outer tube (5), an insulating connecting rod (8) is inserted in the inner cavity of the outer tube front connector (3), the left end of the insulating connecting rod (8) extends to the left side of the outer tube (5), a spherical insulating seat (2) is arranged at the left end of the outer tube (5), an inner cavity of the spherical insulating seat (2) is sleeved with the left end of the insulating connecting rod (8), a conductive screw (1) is obliquely and spirally connected between the top of the spherical insulating seat (2) and the insulating connecting rod (8), a conductive rod (4) is inserted in the right side of the insulating connecting rod (8), a handle (7) is sleeved at the right end of the conductive rod (4), and an outer tube rear connector (6) is inserted between the inner cavity of the handle (7) and the outer wall of the conductive rod (4).
The left side and the right side of the spherical insulating seat (2) are symmetrically penetrated with holes (9), the holes (9) extend to the inner cavity of the insulating connecting rod (8), an angle of 30 degrees is formed between the holes (9) and a horizontal line, the holes (9) of two groups are all positioned below the conductive screw (1), and the cavity of the holes (9) is 1.5mm;
the surface of the spherical insulating seat (2) is in threaded connection with a plurality of groups of conductive screws (1), and the conductive screws (1) form a 0-45 degree area, a 45-90 degree area or a 0-90 degree area on the surface of the spherical insulating seat (2).
2. The Fang Shi endoscopic multifunctional hammer of claim 1, wherein: the diameter of the spherical insulating seat (2) is set to be 5mm, 7mm or 9mm.
3. The Fang Shi endoscopic multifunctional hammer of claim 1, wherein: the conducting rod (4) is a steel rod with the diameter of 1.8 mm.
4. The Fang Shi endoscopic multifunctional hammer of claim 1, wherein: a first heat shrinkage pipe is inserted between the conductive rod (4) and the opposite inner side of the outer pipe (5).
5. The Fang Shi endoscopic multifunctional hammer of claim 1, wherein: the outer wall of the outer tube (5) is sleeved with a second heat shrinkage tube.
6. The Fang Shi endoscopic multifunctional hammer of claim 1, wherein: the outer wall of the handle (7) is provided with anti-skid patterns.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910062832.9A CN109620395B (en) | 2019-01-23 | 2019-01-23 | Fang Shi multifunctional hammer under endoscope |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910062832.9A CN109620395B (en) | 2019-01-23 | 2019-01-23 | Fang Shi multifunctional hammer under endoscope |
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| CN109620395A CN109620395A (en) | 2019-04-16 |
| CN109620395B true CN109620395B (en) | 2023-10-10 |
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| JPH05329169A (en) * | 1992-06-01 | 1993-12-14 | Tagawa Denki Kenkyusho:Kk | Monopolar-type electric contactor for coagulation |
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| CN209951379U (en) * | 2019-01-23 | 2020-01-17 | 吉林大学 | Multifunctional hammer under room's endoscope |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| EP1547527A1 (en) * | 2002-09-09 | 2005-06-29 | Junichi Ninomiya | Stripping wire and stripping catheter for evulsing vein |
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2019
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| JPH05329169A (en) * | 1992-06-01 | 1993-12-14 | Tagawa Denki Kenkyusho:Kk | Monopolar-type electric contactor for coagulation |
| CN2303588Y (en) * | 1997-07-23 | 1999-01-13 | 李金明 | Multifunction electrocoagulating rod for laparoscope |
| CN200945170Y (en) * | 2006-08-24 | 2007-09-12 | 刘学键 | Multi-functional stripper for varicosis |
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| CN201481545U (en) * | 2009-07-27 | 2010-05-26 | 杭州康基医疗器械有限公司 | Electric coagulation stick |
| CN201542740U (en) * | 2009-09-28 | 2010-08-11 | 徐志明 | Ceramic-head insulated electrocoagulator |
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| CN109620395A (en) | 2019-04-16 |
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